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Collection: Original Records > Death Records
Mortuary Records 1940-06 to 1943-05 - Index Included (324 pages)
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Page: of 324
Name of > a
Residence. Z C
Occupation
Name of a oan
Address.. .G4@ Kk. .
. Date of Death. igedlag. La $2... eb
(Hour)
Date of Birth. ays Be. pa 2 GEIR bceeicusece
Age. 7 Sree C6 aa OO, a ae
(Mon ays)
Date of Funeral A&Z Wea.. ee. FM.
Clergyman: lio ew, Ee ates
Religion 7 the Deceased.
Birthplace ZB
Resided in4he State...
< Place of Death.
Charge to:... Fo oF ie Coun
Address. ..7.€. 7 LG MN
Order given by.. tue. Gbalica....; oh ES
How Secured.:.. it Sot Re Sega aaveisasenoeds
Leeworveltss. od
RECORD OF FUNERAL
biting. Se als Bai asda
S. of Wien, neg Shap ;
:
"Gs. & oC
tate Number and District)
—Certif.Copiesof Death Cettificateshio.
(State Physician’s or Coroner's )
Pall Bearer Service, $.. Use of Chapel, $... :
Personal: Servite.. ek coe hee cece stabs tenes
Gross Total for Sales Tax...0....020% $
OIG SDE ERIE oan cvs a pie vis nwa lee od
EMDR te, one Sk eee, Kee bate De
line Death Notices in... Papers ....
BLS Perches Et ee get ea ie dae ar
Flowers, $/722. Palms, $... oe Matting, . ence
DD Single (C2) Widowed “ CB divored (What Race)
or aren siiaaied TTT
Complete Funeral ......-2.0-eee. $I. . 5 OS.
Casket. ., SRCAAEEL us secs cceceeees. 29.
Pirial Vai Gtk roti 5 Ss 5 os e's «vin 's Wiles o clole Pew ctoslw a
(State Kind)
Paar POG ies o's aa ried wees «ow 3 5 a ld ore ey
(Name of Embalmer)
4 Barbtr, $...... Hair Dressing, $....}]....
Dressing Body, $..... Underwear,$....]]....
PUP OP ONE te cate os ly fue dics sad. le RN AM tobes
(State Kind and Color)
Slippers, $....... FOGG Si ik ee oe Nocatee
Folding Chairs, $.... PAEPANN Bie ss. eh salen
Candelabrum, $.... “HCanGICR,. Sool ae ete CaN ae ak
Door Spray, $.:.... CAOVES SG oi-55), Sevan wiles subse.
Funeral Car, $.... Ambulance, $.....])....
Limousines to Cemetery.. . (eB es heater Nea
Autos to R. R. Station. ... (OS. Uae Bte gee . . ane cake
Getting: Remains from.. .oui6s6-.6. 0c ces ce delle ees vn
. ) Rene OGRIAIIS LOL c's cllass bn cr c'eln ds bRultieeloiallo’e vm cied
Trip to Coroner’s Inquest .........-]}....
PORN VRFING BOX Oi sis 5 Gill cco ss oles one ee oth G IE
Deliver Plowers-t0 <3.. cco Saisie one ociee cleusicn agit ts Su),
Removal: Charges.. 0. 2. des vce c ees eeee ee allcs codes
Procuring “Burial Permit 3.5 is vac. bvies ca ceo alles oes ps
ee
see eee
His Bi xan. RIM MME obs os Bens Rental of Tent, $..of Temporary Vault,$... }.. 777!
Zh Opening of Grave or Tomb..........]]....
Maiden Name of Mother. oe a Z 9 ss ; i Lining Grave, $... Lowering Device, $..:]}....Her Birthplace.... A é < SA PN eB re in Outlay for Shipping Charges. ....... Sit A
nag Rikssiavia fetes , . Glereyman, $44 ASingers,$. . ie Organist, Lye te wes 14.
sa a Plead / Z : 4 or Morr }Tickets, . ee :plane ne SETVice,$... ft.. 2-6.
1ZE O cca. .&. Pigs oa locate Telegr., Phone, Cable or Radio Charges..... ]...-Manufactured ponent oe LLG sy CokA Lore. Cash Advanced : 5). 5.02 c ae feu zeiielen o'scn ge ape ee ve
Cemetery} Out of town Undertaker’s ‘Charges. baad eae Sik EE 99859
Interment at. etebuerar MN So Lek ag ee ee rye xc. pale!
Lot Now s.sesseessone eats ee ee
Grave Nou; .. cess sis.<-'s Total Footing of Bill.....-..0.00+: $F. OST
, Meee. 2. we a icin See oie $i.. ZS
Section No.......--:
] f vanes + melons: Sree eae a > A ae
Deadlines of Lah oe Vacks Owner. ..-.0-5-0..00% Entered into ae. page.!!.or below. rh